Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISANDRO ROBERTO FORTUNY
NPI 1104479203
Pathology - Anatomic Pathology & Clinical Pathology in Saint Louis, MO

Q: What is Lisandro Fortuny's NPI number?

The NPI number for Lisandro Fortuny is 1104479203. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Q: What is Lisandro Fortuny's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Lisandro Fortuny was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2019PECOS Enrolled

1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110(314) 362-5000 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Oct 7, 2025, Jul 18, 2019 (3 updates tracked since 2019).

On this page

About Lisandro Roberto Fortuny NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISANDRO ROBERTO FORTUNY (NPI 1104479203) is an individual anatomic pathology & clinical pathology provider in Saint Louis, Missouri, licensed in North Carolina (2026-03462) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104479203

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameLISANDRO ROBERTO FORTUNY

Location Address1 BARNES JEW HOSP PLZSaint Louis, MO 63110-1003

Mailing Address660 S Euclid Ave # 8118Saint Louis, MO 63110-1010 · (314) 362-5000

Phone(314) 362-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 18, 2019

Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1104479203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in NC · 2026-03462

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 97756 (GA)

Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X · License 036-161400 (IL)

Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License 2019018934 (MO)

1 BARNES JEW HOSP PLZ, Saint Louis, MO 63110

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisandro Roberto Fortuny is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729318175

PECOS Enrollment IDI20251114002147, I20260314000435

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALESSIO JOSEPH BEFFA MD

Pathology (Anatomic Pathology & Clinical Pathology)